Windsor Hills Nursing Center
2416 North Ann Arbor, Oklahoma City, OK 73127 · Oklahoma County · 112 certified beds · avg 51 residents/day · certified since Oct 5, 2001
Abuse citation flag (CMS)
Part of chain: SKYBLUE HEALTHCARE (12 facilities, chain avg rating 2.1★)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · May 9, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: May 6, 2025 (Past Non-Compliance)
▲ Actual harm, one-off · Sep 11, 2025 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Oct 3, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Sep 27, 2024 · F-0690 · triggered by a complaint
The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Why it matters: Poor continence and catheter care leads to infections, skin breakdown, and loss of dignity.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Oct 29, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (28)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Sep 11, 2025 | ▲ G · Actual harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Sep 11, 2025 | F · Potential for harm, facility-wide | The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. |
| Sep 11, 2025 | E · Potential for harm, repeated | The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died. |
| Sep 11, 2025 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Sep 11, 2025 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Sep 11, 2025 | E · Potential for harm, repeated | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. |
| Sep 11, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Sep 11, 2025 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| May 9, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| May 9, 2025 | E · Potential for harm, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| Sep 27, 2024 | ▲ G · Actual harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint |
| Sep 27, 2024 | E · Potential for harm, repeated | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Sep 27, 2024 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Sep 27, 2024 | E · Potential for harm, repeated | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. · from a complaint |
| Sep 27, 2024 | E · Potential for harm, repeated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Sep 27, 2024 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · from a complaint |
| Sep 27, 2024 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
| Sep 27, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint |
| Sep 27, 2024 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint |
| Sep 27, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Sep 27, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jul 26, 2024 | D · Potential for harm, one-off | The facility did not provide the social services residents need — such as counseling, help with adjustment, or connecting to outside resources — to achieve the best possible quality of life. · from a complaint |
| Jul 26, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Aug 9, 2023 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Aug 9, 2023 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Aug 9, 2023 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Aug 9, 2023 | D · Potential for harm, one-off | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. |
| Aug 9, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (10 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 0 | E |
| 2024 | 13 | 1 | G ▲ |
| 2025 | 10 | 2 | J ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
2 fines totaling $29,472.
| Date | Type | Amount / length |
|---|---|---|
| Sep 11, 2025 | Fine | $13,323 |
| May 9, 2025 | Fine | $16,149 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Oklahoma avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.47 | 4.58 | 3.95 | bottom 46% in Oklahoma; top 24% in the U.S. |
| Registered Nurse hours | 0.81 | 0.41 | 0.69 | top 5% in Oklahoma; top 27% in the U.S. |
| Weekend total nurse staffing | 3.80 | 4.16 | 3.50 | bottom 28% in Oklahoma; top 29% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.73 | 0.28 | 0.48 | top 2% in Oklahoma; top 15% in the U.S. |
| Total nursing staff turnover (%) | 0.0 | 55.5 | 45.8 | — |
| RN turnover (%) | 0.0 | 53.6 | 42.9 | — |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.68, RN 0.66, weekend 3.12. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ganz, David | Individual | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| Hanover, Yaacov | Individual | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| Kravetz, Avrohom | Individual | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| Retter, S. Aryeh | Individual | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| Rivers Edge Operations III LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| Rivers Edge Partners II LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| Diaz, Anna | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Diaz, Anna | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Ganz, David | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/01/2025 |
| Ganz, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Ganz, David | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Hanover, Yaacov | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Raju, Senthil | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Raju, Senthil | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Retter, S. Aryeh | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/01/2025 |
| Retter, S. Aryeh | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Retter, S. Aryeh | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Rivers Edge Property Holdings III LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Skyblue Healthcare Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Skyblue Healthcare Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/26/2026 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "Who is your infection preventionist, and what training do they have?"
- "If you manage my family member's personal funds, how often will we get statements and how quickly are funds returned?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Heritage Manor | 1.1 mi | Oklahoma City, OK | ★☆☆☆☆ | 2/5 | |
| Heritage Park | 1.4 mi | Bethany, OK | ★☆☆☆☆ | 2/5 | |
| The Grand at Bethany Skilled Nursing and Therapy | 1.5 mi | Bethany, OK | ★★☆☆☆ | 2/5 | |
| North Winds Living Center | 1.9 mi | Oklahoma City, OK | ★★☆☆☆ | 2/5 | abuse |
| Fairmont Skilled Nursing and Therapy | 2.3 mi | Oklahoma City, OK | ★★☆☆☆ | 2/5 | abuse |
| The Lodge at Brookline | 3.1 mi | Oklahoma City, OK | ★★☆☆☆ | 2/5 | |
| Warr Acres Nursing Center | 3.2 mi | Oklahoma City, OK | ★★★☆☆ | 3/5 | |
| Ignite Medical Resort Okc, LLC | 3.3 mi | Oklahoma City, OK | ★★☆☆☆ | 3/5 | |
| Bellevue Health & Rehabilitation Center | 3.4 mi | Oklahoma City, OK | ★★★☆☆ | 3/5 | |
| Northwest Nursing Center | 3.8 mi | Oklahoma City, OK | ★★☆☆☆ | 2/5 | |
| The Lakes | 5.0 mi | Oklahoma City, OK | ★★☆☆☆ | 2/5 | |
| St. Ann's Skilled Nursing and Therapy | 5.4 mi | Oklahoma City, OK | ★★★★☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 375400.